Kavaluus Henna, Nousiainen Katri, Kaijaluoto Sampsa, Seppälä Tiina, Saarilahti Kauko, Tenhunen Mikko
Radiation and Nuclear Safety Authority, STUK, Laippatie 4, FI-00880 Helsinki, Finland.
HUS Cancer Center, Helsinki University Hospital and University of Helsinki, P.O. Box 180, FI-00029 Helsinki, Finland.
Phys Imaging Radiat Oncol. 2021 Jan 25;17:58-64. doi: 10.1016/j.phro.2021.01.003. eCollection 2021 Jan.
Magnetic resonance imaging is increasingly used in radiotherapy planning; yet, the performance of the utilized scanners is rarely regulated by any authority. The aim of this study was to determine the geometric accuracy of several magnetic resonance imaging scanners used for radiotherapy planning, and to establish acceptance criteria for such scanners.
The geometric accuracy of five different scanners was measured with three sequences using a commercial large-field-of-view phantom. The distortion magnitudes were determined in spherical volumes around the scanner isocenter and in cylindrical volumes along scanner -axis. The repeatability of the measurements was determined on a single scanner with two quality assurance sequences with three single-setup and seven repeated-setup measurements.
For all scanners and sequences except one, the mean and median distortion magnitude was <1 mm and <2 mm in spherical volumes with diameters of 400 mm and 500 mm, respectively. For all sequences maximum distortion was <2 mm in spherical volume with diameter of 300 mm. The mean standard deviation of marker-by-marker distortion magnitudes over repeated acquisitions was ≤0.6 mm with both tested sequences.
All tested scanners were geometrically accurate for their current use in radiotherapy planning. The acceptance criteria of geometric accuracy for regulatory inspections of a supervising authority could be set according to these results.
磁共振成像在放射治疗计划中的应用日益广泛;然而,所使用扫描仪的性能很少受到任何权威机构的监管。本研究的目的是确定用于放射治疗计划的几种磁共振成像扫描仪的几何精度,并为此类扫描仪制定验收标准。
使用商用大视野体模,通过三个序列测量了五种不同扫描仪的几何精度。在扫描仪等中心周围的球形体积和沿扫描仪轴的圆柱形体积中确定畸变大小。在一台扫描仪上,通过两个质量保证序列,进行三次单次设置测量和七次重复设置测量,确定测量的可重复性。
对于除一台之外的所有扫描仪和序列,在直径为400mm和500mm的球形体积中,平均畸变大小和中位数畸变大小分别<1mm和<2mm。对于所有序列,在直径为300mm的球形体积中,最大畸变<2mm。在两次测试序列中,重复采集时逐个标记的畸变大小的平均标准差≤0.6mm。
所有测试的扫描仪在目前用于放射治疗计划时在几何上都是准确的。监管机构进行监管检查时的几何精度验收标准可根据这些结果来设定。